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Hua Lens 1S lecture Exam 2
Opt 531 Hua
81
Medical
Graduate
02/28/2011

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Cards

Term
What are some functions of the lens capsule?
Definition
metabolic exchange, filters intermediate sized molecules
Term
How are molecules selected by the lens capsule?
Definition
Based on size and charge (anions)
Term
What are some metabolites exchanged by the lens capsule?
Definition
glucose, salts, water, O2, CO2, waste
Term
What kind of collagen is found in lens capsule?
Definition
Collagen IV
Term
Is the lens capsule thick or thin?
Definition
Thin membrane
Term
Besides Collagen IV, what else is found in the lens capsule?
Definition
laminin, nidogen and perlecan
Term
What is stored in the lens capsule?
Definition
fibroblast growth factors (FGF) for lens development
Term
What MMP's are upregulated in lens cells stressed by cataract surgery?
Definition
MMP-2 and MMP-9
Term
What is FGF?
Definition
fibroblast growth factors
Term
What does hyperglycemia do to the lens capsule?
Definition
stiffens it, makes it brittle
Term
What is the mechanism of lens capsule stiffening?
Definition
cross linked lysine amine groups
Term
What may be a factor in presbyopia?
Definition
stiffened lens capsule
Term
What is deep to the lens capsule?
Definition
epithelium of anterior lens or lens fibers
Term
What way does the apical surface of the lens membrane face?
Definition
toward the lens
Term
Where are gap junctions found in the lens?
Definition
Everywhere
Term
How big is vit C linearly?
Definition
1 nm
Term
What connexins are found in lens cells?
Definition
Cx 43, Cx 46, Cx 50
Term
Do connexins interact with cataracts?
Definition
yes
Term
What happens if knock out Cx50?
Definition
mild nuclear cataracts
Term
How does Ca++ accumulation affect lens?
Definition
activates calpain --> cleaves crystallins
Term
What do cleaved crystallins do?
Definition
precipitate into a lens opacity
Term
Where are epithelial Na-K-ATPases found?
Definition
In the equatorial lens
Term
What is lens nutrient flow?
Definition
In at the poles, out at the equators
Term
what is ouabain?
Definition
Na-K-ATPase inhibitor, not used to prevent cataract though due to heart failure
Term
What happens if Na+ levels increase in the lens?
Definition
Swelling
Term
What does purinergic receptors do?
Definition
Sense and regulate Na-K-ATPase
Term
What are CLC-2 and CLC-3?
Definition
Lens epithelium chloride channels
Term
What does Ca2-ATPase do?
Definition
transports calcum out of lens
Term
What regulates lens pH?
Definition
Na-H exchangers and Cl-HCO3 exchangers
Term
What water channels are found in lens epithelium?
Definition
Aquaporin 1
Term
What is the glucose transporter for lens epithelium?
Definition
Glut 1; this is NOT dependent on insulin to transport glucose. Glut 4 is however.
Term
What is the glucose metabolism pathways for the lens?
Definition
aerobic = 40% of ATP yield from only 3-10% of glucose, 80% of glucose = anaerobic
Term
Why is energy needed in the lens?
Definition
To power the lens pumps and repair fibers
Term
What differentiates differentiateing fibers (DF)?
Definition
DF have organelles present
Term
What aquaporins are in DF?
Definition
AQP0, no AQP1
Term
What are mature fibers (MF)?
Definition
Lose organelles
Term
Why do MF cells use O2 when they have lost their mitochondria?
Definition
ascorbate has high conc. and may consume O2
Term
What aquaporins are in MF?
Definition
AQP0, maybe some AQP5
Term
What regulates glucose uptake in MF?
Definition
Na dependent glucose transporter, does not require ATP, driven by Na gradient
Term
What drives lens microcirculation?
Definition
transmembrane fluid flow via osmosis
Term
What aquaporins let water into and out of the lens?
Definition
AQP0 lets water in, AQP1 lets water out
Term
What cumulative damage causes cataracts?
Definition
oxidative damage of crystallin proteins
Term
What prevents oxidative damage to lens?
Definition
antioxidant enzymes: catalase, superoxide dismutase, glutathione reductase, glutathione peroxidase
Term
What % of the lens is water?
Definition
65-70
Term
What is unique about lens composition?
Definition
High protein content, low water content
Term
What is the protein content of the lens?
Definition
30-35%
Term
What are the 3 types of crystallins?
Definition
Alpha, Beta, Gamma
Term
What is the size comparison for the three types of crystallins?
Definition
Alpah > Beta> Gamma
Term
What is the major class of lens proteins?
Definition
alpha crystallins
Term
What is the function of alpha crystallins?
Definition
heat shock protein, inhibit apoptosis, protect lens from stress
Term
Where else is alpha B crystallin found in the body?
Definition
Brain, is a factor in parkinsons and alzheimer dx, found lewy body plaques that destroy neurons
Term
What is the form of beta crystallin proteins?
Definition
greek key motif
Term
What does the greek key motif facilitate?
Definition
Binding to calcium, more compact proteins
Term
What is unique about gamma crystallin?
Definition
high amounts of cysteine, makes disulfide bonds possible
Term
what induces disulfide bonds in gamma crystallins?
Definition
oxidative damage of crystallin proteins
Term
What are common posttranslational modifications?
Definition
phosphorylation, oxidation, cross linking, and cleavage of proteins after translation
Term
What tissue is affected greatly by posttranslatoinal modification?
Definition
crystallins in mature lenses
Term
What crystallins degrade extensively with age?
Definition
Gamma and Beta
Term
What property do crystallins lose with age?
Definition
Solubility
Term
What is the biochemical structure of all crystallins?
Definition
beta sheet, allows for better packing
Term
What is the Hudson-Stahli line?
Definition
Iron buildup around cornea w/ age
Term
What molecule stores iron?
Definition
ferritin
Term
What molecule allows iron to be used?
Definition
transferrin
Term
Where is ferritin found?
Definition
throughout entire lens
Term
How does caloric restriction prevent oxidative damage?
Definition
Decreases mitochondrial free radical generation
Term
What causes cataracts?
Definition
abnormal ion transport, excessivel proteolysis, low glutathione and excess cytoplasmic Ca++
Term
What are theories of cataractogenesis?
Definition
mechanical shearing from accommodation, compromised membrane fluidity, depleted crystallin chaperone activity
Term
What ion channels participate in cataractogenesis?
Definition
AQP0
Term
Doublecheck slide 51!!
Definition
null
Term
What is a diabetic cataract?
Definition
hyperglycemia causes lens swelling by compromising fiber cells ability to regulate their volume
Term
What two volume regulating pathways does hyperglycemia compromise?
Definition
Sorbitol conc. and K-Cl cotransporter overstimulation
Term
What is galactosemia?
Definition
Improper galactose metabolism
Term
What can galactosemia do to the lens?
Definition
causes cataracts, often in infants
Term
How do you manage galactosemia?
Definition
Avoid lactose in diet
Term
What is the most common type of cataract?
Definition
nuclear
Term
What percent of cataracts are nuclear?
Definition
60.00000%
Term
What lens fibers are most susceptible to oxidative damage?
Definition
nuclear fibers
Term
What is a common cause of cortical cataracts?
Definition
trauma
Term
What is posterior subcapsular cataract etiolgy?
Definition
abnormal migration of lens epithelial cells can be caused by radiotherapy or long term steroid use
Term
What % of cataracts are posterior subcapsular?
Definition
10.00000%
Term
What is a second cataract?
Definition
The post capsular bag calcifies around IOL
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